Nutrition Guidelines For Weight Loss Procedures
Why should I follow these recommendations?
- Help to prevent nutritional deficiencies that may result from a decreased intake of food.
- Help to achieve the maximum amount of weight loss.
- Help to prevent nausea, vomiting, dehydration, and other potential side effects.
Getting Ready for your Procedure…
It is a good idea to start making changes before a weight loss procedure to help you prepare for your new lifestyle after the procedure.
- Chew your food thoroughly. This becomes very important after the procedure. With the reduction in the size of your stomach you must be able to chew food to a liquid consistency before swallowing. Not chewing your food enough could result in pain, nausea, and vomiting.
- Start with smaller bites. Cut food into tiny pieces (i.e. pencil eraser-size) and/or use a small utensil (i.e. child’s fork) to control bite size.
- Chew each bite approximately 20 times or until liquid.
- Practice eating slowly and stop eating when you feel full or comfortably satisfied. After a weight loss procedure, it is important to eat slowly in order to recognize your feeling of fullness and prevent intolerance. When you feel a pressure in your upper stomach area, this is your new full feeling. If you experience pain, you probably took one too many bites, or perhaps ate too quickly.
- Sit down and focus on eating. Avoid activities (i.e. reading, watching TV, on computer) where you can become distracted. Practice mindful eating.
- Savor each bite, noting its aroma, flavor and texture. Engaging all your senses can increase satisfaction and help prevent over eating.
- Put your fork down between bites.
- Practice sipping beverages slowly and drink between meals.Drinking too quickly, gulping and/or drinking too soon after eating solid food may cause pain, discomfort or other intolerances.
- When you return home it may seem difficult to get fluids in initially because of inflammation. Aim for 4-8 oz of fluid over an hour.
- Eventually you should be able to take 8 oz of fluid over 5-15 minutes.
- Eventually you should be able to take 8 oz of fluid over 5-15 minutes.
- Drink adequate amounts of fluids to prevent dehydration. Fluid needs are individual and some people may require more fluid to maintain adequate hydration than others. Your dietitian can help determine the amount of fluid that is best for you .
- Aim for at least 64 ounces (oz) per dayunless you have been given a higher goal.(the first few days after the procedure the goal is to only sip; you will not reach 64 ounces)
- Increase your fluid intake if you are having signs or symptoms of dehydration: decreased or dark urine, nausea, headache, dizziness, lack of energy, dry skin, dry mouth or a white coating on the tongue.
- Wean off of beverages containing carbonation, caffeine, sugar and alcohol.Carbonation may cause abdominal discomfort. Caffeine may irritate the stomach. Caffeine as well as alcohol may also contribute to dehydration. Beverages containing sugar and alcohol are high in calories and will hinder your weight loss. And last but not least, alcohol metabolism is altered and you may feel the effects more quickly.
- Water is a great beverage choice! If you are having trouble tolerating plain water, try adding a wedge of citrus fruit or sliced cucumbers.
- Sugar free or light beverages with less than 10 calories per serving are also appropriate.
- Try beverages sweetened with artificial or non-nutritive sweeteners.
- Try True Lemon/Lime/Orange® for touch of flavor without artificial sweetener.
- If you choose to drink alcohol in moderation after surgery, please do not plan on driving.
- Read food labels.Begin by identifying the amount of sugar, fat and protein in a particular food.
- Sugar – Food and beverages high in sugar will slow down the rate of weight loss and may even cause weight re-gain.
- Avoid high sugar foodssuch as sweets, candy, fruit drinks and sodas.
- Limit foods that contain sugarin the first 3 ingredients on the food label.
- Aim for no more than 15 grams of sugar per serving.
- Sugar alcohols – Sugar alcohols are sometimes used in foods to provide a sweet taste without the calories of sugar. You may find sugar alcohol in sugar free foods such as sugar-free candies, cookies, ice cream and chewing gum. You may even find sugar alcohol in foods not labeled sugar free such as protein bars. If a product contains sugar alcohol the type (i.e. sorbitol, xylitol, mannitol, maltitol, starch hydrolysates, etc.) will be included on the list of ingredients and the amount will be included on the nutrition facts label. Limit sugar alcohol to less than 10 grams per serving as greater amountsmay lead to cramping, abdominal pain, excess gas and/or diarrhea.
- Fat – Food and beverages high in fat are high in calories and like sugar will slow down the rate of weight loss and may even cause weight re-gain. High fat intake may also causesymptoms of intolerance (causing possible nausea or vomiting).
- Avoid obviously high fat foods such as fried foods; fast food;snack chips;high fat meats like bacon, sausage, hot dogs, bologna, pepperoni and wings; cream soups and sauces like Alfredo;whole milk, ice cream; donuts; cakes; cookies; and pastries .
- Choose foods that are labeled “light”, “low fat” or “fat free”.
- When looking at a food label…Choose foods with 5% or less of the Daily Value (DV) for total fat. Avoid foods with 20% or more of the Daily Value for total fat. These would be considered a high fat foods.
- Choose lean cuts of meat. Lean cuts include round, chuck, sirloin and tenderloin and meats that are greater than 90% lean.
- Protein – Protein is important for wound healing, immune function and maintaining muscle mass. Needs are individual but ranges of 60-80 grams are often suggested.Protein should be consumed first at each meal, then vegetables and fruits, then whole grains.
- Eat protein with each meal.
- Eat protein foods first. Take 2-3 bites of protein followed by a bite of vegetable or fruit and then a bite of starch/whole grains.
- Avoid dry meats, they are usually not tolerated well.
- Sugar – Food and beverages high in sugar will slow down the rate of weight loss and may even cause weight re-gain.
- Explore, purchase and begin taking protein supplements
- Choose supplements with:
- At least 20-30 grams of protein per serving.
- Less than 5 grams of sugar per serving.
- Less than or equal to 200 calories.
- Please account for the additional calories of any fluids or foods mixed or blended in (i.e. fruit, yogurt, peanut butter, milk, etc).
- Choose whey protein isolateover whey protein concentrate and milk protein concentrate if you are lactose intolerant or feel symptoms of gas, bloating or are having loose bowel movements after surgery. Whey protein isolate is absorbed well and has no lactose or milk sugar.
- Avoid and/or limit products with collagen(not a complete protein).
- If you mix protein powder with skim or 1% milk you will get an additional 8 grams of protein per 8 oz.
- Choose supplements with:
- Explore, purchase and begin taking vitamin and mineral supplements. Vitamins and minerals are not only important for good health but also for maximum weight loss and long-term weight maintenance.
- Begin taking a multivitamin (MVI) now if you do not already. Look for a MVI that contains 100% Daily Value for iron (18mg), folic acid (400mcg), thiamine (1.5mg) and copper (2mg).
- Include physical activity in your daily routine. Exercise is recommended as a life-long habit and is known to improve over-all health, mood and sense of well-being as well as maximize weight loss. The American College of Sports Medicine recommends:
- 30-60 minutes of moderate aerobic activity at least 5 days a week.One continuous session or multiple shorter sessions of exercise can achieve the same goal.
- Strength training 2-3 days a week. Use a variety of exercises and equipment to work each major muscle group.
- Before beginning any exercise routine, please consult with your doctor to make sure it is safe for you to exercise.
- Establish support. Social support is associated with increased weight loss after a weight loss procedure.
- Involve family and friends inappointments before and after surgery. They can provide encouragement and help you achieve your goals for a healthier lifestyle.
Pre-Procedure…
Day Before the Procedure
Day before Procedure- Full Liquid Diet
Night before Procedure- Drink 20 oz Gatorade or Pedialyte(provides electrolytes and energy for weight loss procedure)
NOTHING BY MOUTH AFTER MIDNIGHT!
Following Your Procedure…
After you have been discharged from the endoscopy suite:
- Start Slowly Sipping on Clear Liquids
- Fluid Goals: 4 to 8 oz over 2 hours
Clear Liquids:
Water
Coffee
Tea
Broth (miso, chicken, beef, veggie)
Sugar-free flavored beverages with less than 10 calories per serving
Sugar-free fruit drinks
Sugar-free popsicles and sugar-free Italian Ice
Remember:
- Sip and Do Not Gulp. Suggest avoiding straws for about 2 weeks. Swallowing air may cause abdominal discomfort.
- Drink Slowly. If you feel increasing fullness or pressure under your breast bone, slow down.
After Discharge Home…
Full Liquid Diet: Post-op Week 1
Goals:
- 60-80 grams of protein per dayor more if recommended (at least 2-3 protein supplements per day).
- Aim for 64 ounces (oz) of fluid per day(just a goal; will be tough initially)
- Drink Early and Often! It will probably take an hour to drink 8 oz. Drinking is an ALL DAY job. It is nearly impossible to play catch up with your fluids if you do not start early.
- Protein supplements can account for 50% of your fluid goal.
- Keep logs recording ounces of fluid and grams of protein consumed.
Recommended Liquid and Semi-liquids:
- Water
- Broth
- Sugar-free fruit drinks
- Sugar-free popsicles and sugar-free Italian ice
- Tea and coffee
- Diluted fruit juice (maximum of 4 ounces juice per day, diluted with 4 ounces water)
- 1% or skim milk
- Protein supplements
- Low-fat/light or 100 calorie yogurt (plain or flavored yogurt without fruit chunks or seeds, Greek is preferred)
- Low fat or Fatfree cottage cheese (no fruit added)
- Ricotta cheese made with skim milk
- Sugar-free gelatin
- Sugar-free, low fat pudding
Sample Full Liquid Meal Plan (Week 1)
| 7:00 am | 8 oz fluid such as coffee |
| 8:00 am | 2 tbsp semi-liquid such as fatfree plain Greek yogurt |
| 8:30 am | 8 oz fluid such as a sugar-free fruit flavored beverage |
| 9:00 am | 2 tbsp semi-liquid such as sugar-free pudding |
| 10:00 am | 8-12 oz protein supplement |
| 12:00 pm | 2 tbsp semi-liquid such as sugar-free gelatin |
| 1:00 pm | 8 oz fluid such as water with lemon |
| 2:00 pm | 8-12 oz protein supplement |
| 4:00 pm | 8 oz fluid such as decaffeinated sugar-free iced tea |
| 6:00 pm | 2 tbsp fatfree cottage cheese |
| 8:00 pm | 8-12 oz protein supplement made with 1% or skim milk |
Pureed Diet: Post-op Week 2
Goals:
- 60-80 grams of protein per dayor more if recommended (at least 2-3 protein supplements per day).
- Eat protein foods first, followed by vegetables, fruits then grains.
- 64 oz of fluid per day (including protein drinks) sipped between meals. Avoid fluids during meals and wait 30 minutes after eating to resume drinking fluids.
- Foods blended or mashed to liquid/baby food consistency.
- Avoid spicy foods as well as very hot or very cold foods since they may cause discomfort.
- Try only 1 new food at a meal so that you know what you can tolerate.
| Food | Choose | Avoid |
| Protein | 2 Tbsp(1oz) provides 6-7 grams of protein Blended Lean Beef, Pork, Poultry, Fish, Shrimp, Lobster, Crab, Imitation Crab/Lobster, Tuna fish in water 1 Egg (scrambled), egg substitute 2 Tbsp provides 3-4 grams protein Cottage and Ricotta Cheese (fat-free, skim milk or 1%) Greek yogurt (fat-free, plain or lightwithout seeds or chunks) Tofu (soft) Cheese, fat-free or low fat (1 slice or 1 oz provides 6-7 grams protein) Milk, 1% or skim (8 oz provides 8 grams of protein) | High fat meats Proteins cooked in oil, fat and butter Peanut butter and other Nut butters Cheese or yogurt made from whole milk Whole or 2% Milk |
| Produce Tip: Add Protein Powder | Vegetables Soft, tender varieties, cooked and blended or mashed with a fork Fruits Mashed banana, No sugar added applesauce, blended canned peaches or pears in 100% juice, blended fresh fruit without seeds or skins and baby food fruit | Salad; Raw; Tough varieties with fibrous stalks,seeds, skins or hulls; Cooked in butter or oil Tough varieties Seeds, skins, hulls Fruit in heavy or light syrup |
| Grains and Starches Tip: AddProtein Powder | Hot cereal (oatmeal, grits, cream of wheat) Mashed white or sweet potatoes Blended/mashed beans (refried beans, hummus) | Pasta and noodles Rice Bread and bread products All additional starchy foods not listed in the choose category Grains prepared with added butter or oil |
| Soups Tip: Add Protein Powder | Broth, bouillon Blended- Vegetable soup, Reduced fat cream soup, Bean soup or Egg drop soup | Rich, high fat cream soups or soups with chunks or noodles |
| Beverages | Water Decaffeinated, non-carbonated beverages with less than 10 calories per 8 oz serving such as coffee, tea, Crystal Light®, Mio®, Propel Zero®, Fruit 2O®, Vitamin Water Zero®,True Lemon/Lime/Orange® | All soda or other Carbonated drinks Caffeinated coffee/ tea Chocolate milk Sweetened condensed milk 2% or whole milk |
| Miscellaneous | Light yogurt, sugar-free gelatin, sugar-free popsicles, sugar-free pudding and custard, sugar- free/low fat ice cream and sherbet, light or low fat mayonnaise | All others |
Instructions for Pureeing Foods:
Buy or borrow a blender or food processor if you do not own one.
- Cut food into small pieces about the size of your thumbnail.
- Place food in the blender.
- Add enough liquid (broth, fat free gravy, fat free yogurt, tomato sauce, etc.) to cover the blades.
- Blend until smooth like applesauce.
- Strain out the lumps, seeds, or pieces of food.
- Use herbs and spices (avoid spicy ones) to flavor food.
- Enjoy!
Tip: Use ice cube trays.
- Each cube holds about 1 ounce.
- This will help you to control portion sizes and estimate protein.
- Each cube is about 7 grams of protein if you’re putting pureed lean beef, poultry or pork in the trays.
- Try preparing your favorite healthy recipe, blend and freeze in the trays.
Sample Pureed Meal Plan (Week 2)
| 7:00 am | 8 oz fluid such as coffee |
| 8:00 am | 8-12 oz protein supplement |
| 9:30 am | 8oz fluid such as water |
| 10:30 am | 2-4tbsp protein food such as 100 calorie vanilla Greek yogurt |
| 11:30 am | 8 ozfluid such sugar-free fruit flavored beverage |
| 12:30 pm | 2-4 tbsp protein food such as Ricotta cheese (made with skim milk) mixed with 1-2 tbsp tomato sauce |
| 2:00 pm | 8 ozfluid such as sugar-free fruit flavored beverage |
| 3:00 pm | 8-12 oz protein supplement |
| 4:00 pm | 2 tbsp protein food such as 1% low fat cottage cheese 2 tbsp blended or baby food peaches |
| 5:00 pm | 8 oz fluid such as water with lemon |
| 6:00 pm | 2tbsp protein food such as blended chicken 2 tbsp blended green beans 1-2 tbsp mashed potatoes with 1 tbsp fat-free gravy |
| 7:30 pm | 8-12 oz protein supplement |
| 8:30 pm | 8 oz fluid such as water with lime |
Soft Diet: Post-op Week 3-4
Goals:
- 60-80 grams of protein per dayor more if recommended.Decrease protein supplements as protein foods increase.
- Eat protein foods first, followed by vegetables, fruits then grains.
- 64 oz of fluid per day (including protein drinks) sipped between meals.Avoid fluids during meals and wait 30 minutes after meals to resume drinking fluids.
- All foods must be soft or cooked to a soft consistency. Chew all foods well.
- Try only 1 new food at a sitting so that you know what you can tolerate.
| Food | Choose | Avoid |
| Protein | 1oz provides 6-7 grams of protein Ground or finely chopped Lean Beef, Pork, Poultry, Fish, Shrimp, Lobster, Crab, Imitation Crab/Lobster, Tuna in water Lean deli meats Egg and egg substitute 2 Tbsp provides 3-4 grams protein Cottage/Ricotta Cheese (fat-free, skim milk, 1%) Greek yogurt (fat-free, plain, light or 100 calorie) Tofu (soft) Cheese, fat-free or low fat (1 slice or 1 oz provides 6-7 grams protein) Milk, 1% or skim (8 oz provides 8 grams of protein) | High fat meats Tough, dry meats Proteins cooked in oil, fat and butter Peanut butter and other Nut butters Cheese or yogurt made from whole milk Whole or 2% Milk |
| Produce | Vegetables Tender varieties, cooked until soft Fruits Melon, Banana, No Sugar Added Applesauce, canned peaches and pears in 100% juice and other soft fruit without seeds, skins or hulls | Salad; Raw; Tough varieties with fibrous stalks seeds, skinsor hulls (peas, corn); Cooked in butter or oil Tough varieties, Seeds, skins, hulls and membranes like fresh oranges Fruit in heavy or light syrup |
| Grains and Starches | Hot cereal (oatmeal, grits, cream of wheat) Mashed white or sweet potatoes Beans, hummus Toast, crackers without seeds, hard pretzels Rice, pasta and noodles(wait until week 7,8) | Soft bread Bagels All additional starchy foods not listed in the choose category Grains preparedwith added butter or oil |
| Soups | Broth, bouillon Reduced fat cream soups Egg drop soup | Rich, high fat cream soups |
| Beverages | Water Decaffeinated, non-carbonated beverages with less than 10 calories per 8 oz serving such as coffee, tea, Crystal Light®, Mio®, Propel Zero®, Fruit 2O®, Vitamin Water Zero®,TrueLemon/Lime/Orange® | All soda or other Carbonated drinks Caffeinated coffee/ tea Chocolate milk Sweetened condensed milk 2% or whole milk |
| Miscellaneous | Light yogurt, sugar-free gelatin, sugar-free popsicles, sugar-free pudding and custard, sugar- free/low fat ice cream and sherbet, light or low fat mayonnaise | All others |
Sample Soft Diet Meal Plan (Weeks 3-4)
| 7:00 am | 8 oz fluid such as decaffeinated coffee |
| 8:00 am | 2 oz protein food such as an omelet (1scrambled egg with 1 slice light cheese and 1-2 tbsp cooked vegetables) |
| 9:00 am | 8 oz fluid such as water with an orange wedge |
| 10:00 am | 8-12 ounces protein supplement |
| 1:00 pm | 1-2 ozprotein food such as tuna with low fat mayonnaise 2 saltine crackers 2-4 oz canned/ diced pearsin 100% Juice |
| 2:00 pm | 8 ozfluid such as water with lemon |
| 3:30 pm | 8-12 oz protein supplement |
| 5:00 pm | 8 oz fluid such as decaffeinated sugar-free iced tea |
| 6:00 pm | 1 ½ -2 ozprotein food such as chopped chicken breast (moist, tender) 2 tbspcooked green beans 1-2 tbsp mashed potatoes with 1 tbsp fat-free gravy |
| 7:30 pm | 8 oz fluid such as a sugar-free flavored water |
| 8:00 pm | 1/2 cup melon |
Pureed Diet: Post-op Week 2
- 60-80 grams of protein per dayor more if recommended.Decrease protein supplements as protein foods increase. Remember-Moist tender meats tend to be better tolerated.
- 64 oz of fluid per day.Continue to avoid fluids during meals and wait 30 minutes after meals to resume drinking fluids.
- Begin to add raw vegetables such as lettuce and carrots butcontinue to avoid foods with tough skins and large seeds such as cucumbers.
- Take your time at meals and chew very well to help increase your tolerance to these foods. Eventually you should be able to enjoy a wider variety of fresh fruits and vegetables,breads and other grains.
- Keep food records of your tolerance and intake. Remember that food intolerance is very individual
Three months following your surgery, you should be increasing the variety in your diet and attempting to eat foods from all of the food groups. The following chart is a guide to help you develop healthy eating patterns.
Suggested Daily Intake based on Food Groups
| Food Group | Food Choices | Serving Size | Number of Servings | Grams Protein | Grams Carb |
| Meat, Poultry, Fish, Eggs | Examples include lean beef, pork, ham, veal, chicken, turkey, fish, tuna fish, crab, shrimp, lobster, scallops, mussels, Canadian bacon, eggs, egg whites, firm tofu | 1 oz ¼ cup | 6-7 | 36-49 | 0 |
| Vegetables | Examples include carrots, green beans, tomatoes, spinach and other greens, zucchini, yellow squash, beets, onions, peppers, broccoli, cauliflower, asparagus, cabbage, eggplant | ½ cup | 2-3 | 4-6 | 10-15 |
| Fruits | Examples include apples, applesauce, plums, pears, peaches, nectarines, grapes, tangerines, cherries, berries, bananas | ½ cup | 2-3 | 0 | 30-45 |
| Grain, Starchy Vegetables | Examples include rice, potatoes, sweet potatoes, noodles, pasta, bread, crackers, pretzels, cereals, peas, corn, beans, chick peas, lentils, soybeans | ½ cup | 3-4 | 6-12 | 45-60 |
| Dairy | Examples include skim/1% milk, Light yogurt, Greek style yogurt, cottage/ricotta cheese, low fat/fat free cheese, low fat soy milk | 8oz ½ cup | 2-3 | 10-25 | 10-25 |
| Fats/Oils | Butter, margarine, mayonnaise, salad dressing | 1 Tbsp | 1-2 | 0 | 0 |
| Total | 56-92 | 95-145 |
Sample Regular Diet Meal Plan (Weeks 5 and after)
Before Breakfast 6-8 ozWater
Breakfast
1 egg scrambled with 1 slice of fat free cheese
½ slice whole grain toast with low fat margarine
½ banana
30 minutes After Breakfast – 8-16ozsugar-free flavored beverage
Mid-Morning Snack
½ cup sliced apple
1 ounce low-fat string cheese
30 minutes after snack – 16 oz water or other approved beverage – sipped throughout the day
Lunch
½ cup (4 ounces) tuna in water with 1 Tbsp low fat mayonnaise on 1 slice whole grain bread
3 slices fresh tomato and ½ cup fresh lettuce
½ cup fresh cantaloupe
30 minutes after lunch- 8 oz decaffeinated sugar-free iced tea
Mid-Afternoon Snack
½ cup plain, low-fat Greek yogurt with ½ cup berries
30 minutes after snack – 16 oz water or other approved beverage – sipped throughout the day
Dinner
2-4 oz baked fish
½ cup steamed broccoli with lemon
½ cup baked sweet potato with 1 tsp low fat margarine/butter
Evening Snack
8 oz skim or 1% milk or soy milk
The above information is provided as a general guide.
Advancing to a Regular Diet should be achieved with the aid of a Registered Dietitian. Please make an appointment to develop a healthy meal plan to ensure adequate nutrient intake and maximize your weight loss.
Possible Nutrition Related Problems that may occur post-op:
- Dehydration: Signs of dehydration include dark urine, nausea, headache, dizziness, lethargy and/or a white coating on the tongue. These can occur if you are not drinking adequate amounts of fluid each day. Strive for at least 64 oz a day.
- Decreased appetite: It is very common to not feel hungry right after the procedure. You need to eat based on a schedule and not physical symptoms of hunger.Refer to nutrient guidelines and suggested meal plans to ensure that you get proper nutrition and prevent deficiencies.
- Nausea or vomiting:Usually caused by eating too fast, eating too much, not chewing well, drinking with or too soon after your meals or advancing your diet too soon. If you do not believe nausea or vomiting is food related, call your doctor’s office.
- Bad taste in mouth and taste changes: This can be common right after the procedure and may be caused for many reasons. If related to medication given around surgery or decreased intake after surgery it should resolve after a couple weeks. Some people experience ongoing taste changes because of the surgical procedure. Discuss problem solving tips with your dietitian.
- Constipation: May occur within the first few weeks after the procedure. Medication, decreased fluid intake, a low fiber diet and calcium and iron supplementation can contribute towards constipation. Stool softeners,Miralax, physical activity, adequate fluid intake and increasing fiber intake through texture appropriate fruits, vegetables and whole grains as the diet progresses can help promote bowel regularity.
- Increased gas: This is also common after the surgery, especially during the first few weeks. If you have gas pains, try simethicone drops (Gas X â). DeveromÒmay also help with the odor. Gas can be a sign of lactose intolerance.
- Trouble tolerating dairy products or lactose intolerance: Milk and other dairy products may cause cramping, bloating, excessive gas and/or diarrhea. If these problems occur, try taking a lactase enzyme when drinking or eating dairy. Lactaid 100 â milk, fat free fairlife milk, soymilk or almond milk may also be better tolerated.
- Pregnancy: This must be avoided for the first 18 months following surgery. Pregnancy during this time could cause complications and deficiencies for you and your baby and may result in birth defects. For this reason you need to take precautions to prevent pregnancy, even if you had problems getting pregnant in the past. Rapid weight loss increases fertility so you must be very careful.
Suggested Protein Supplements
Choose supplements that provide 100-200 calories, 20-30 grams of protein, and less than 5 grams of sugar per standard serving. A good supplement will provide at least 15 grams of protein per 100 calories.
| Supplement (serving size) | Calories | Protein (grams) | Sugar (grams) | Protein Source | Other | Where to Purchase |
| Ready to Drink (RTD) | ||||||
| Designer Whey (10.5 fl oz) | 100 | 18 | 3 | Milk | GF | Safeway, Trader Joe’s, GNC, Vitamin Shoppe, Rite Aid, Target |
| EAS 100% Whey (11 fl oz) | 180 | 30 | 1 | Whey | CVS, Giant, Harris Teeter, Rite Aid,Shopper’s, Target, Walgreen’s, Walmart, online | |
| GNC Lean Shake 25 (14 fl oz) | 170 | 25 | 2 | Milk | LF | GNC |
| Orgain Organic Protein (11 fl oz) | 150 | 25 | 2 | Milk | GF | Costco, Vitamin Shoppe, Whole Foods, online |
| Premier Protein (11 fl oz) | 160 | 30 | 1 | Milk | Costco, Sam’s Club, BJ’s, Giant, Safeway, Food Lion, Walmart, online | |
| Premier Protein Organic (11 fl oz) | 150 | 25 | 5 | Milk | GF | Costco, Walmart, online |
| Pure Protein (11 fl oz can) | 150-170 | 35 | 1 | Milk | GF | Costco, Sam’s Club, BJ’s, CVS, Rite Aid, Safeway, Target, Vitamin Shoppe, Walgreens, Walmart, online |
| Extreme Smoothie (11 fl oz) | 170 | 35 | 4 | Milk | online |
| Supplement (serving size) | Calories | Protein (grams) | Sugar (grams) | Protein Source | Other | Where to Purchase |
| Ready to Drink (RTD) Clear Liquid | ||||||
| About Time ProHydrate (12 oz fl oz) | 95 | 20 | 3 | Whey Isolate | GF/LF | GNC, Vitamin Shoppe, Target, online |
| Atkins Lift (16.9 fl oz) | 90 | 20 | 0 | Whey Isolate | CVS, Food Lion, Giant, Harris Teeter, Rite Aid, Safeway, Shopper’s, Target, Walgreens, Walmart, online | |
| Cocotein (16 fl oz) | 100 | 20 | 5 | Whey Isolate | LF | GNC, Vitamin Shoppe, online |
| Isopure Zero Carb (20 fl oz) | 160 | 40 | 0 | Whey Isolate | LF | Vitamin Shoppe, GNC, online |
| Isopure Plus (8 fl oz) | 60 | 15 | 0 | Whey Isolate | GF/LF | GNC,online |
| Premier Clear Protein (16.9 fl oz) | 90 | 20 | 0 | Whey Isolate | Sam’s Club, online |
| Supplement (serving size) | Calories | Protein (grams) | Sugar (grams) | Protein Source | Other | Where to Purchase |
| Powder | ||||||
| Bariatric Advantage High Protein Shake Mix (2 scoops) | 100 | 20 | 1 | Whey Isolate | GF LF | bariatricadvantage.com, online |
| Body Fortress Super Adv. Whey Isolate (1 scoop) | 140 | 30 | 1 | Whey Isolate | GF LF | Walmart, Walgreens, CVS, Giant, online |
| Celebrate* Protein 20 (2 scoops) | 90-100 | 20 | 1-3 | Whey Isolate | GF | celebratevitamins.com, online |
| Designer Whey (1 scoop) | 100 | 18 | 2 | Whey | GF | Safeway, Trader Joe’s, GNC, Vitamin Shoppe, Rite Aid, Target |
| Dymatize Elite 100% Whey Protein Iso∙100 (1 scoop) | 120 110 | 25 25 | 1 0 | Whey Whey Isolate | GF GF/LF | GNC, Vitamin Shoppe, online |
| EAS 100% Whey (2 scoops) | 170 | 30 | 2 | Whey | CVS, Giant, Harris Teeter, Rite Aid, Shopper’s, Target, Walgreen’s, Walmart, online | |
| GNC 100% Whey Protein* 100% Whey Isolate (1scoop) | 130 130 | 24 28 | 2 2 | Whey Whey Isolate | GNC, online | |
| Supplement (serving size) | Calories | Protein (grams) | Sugar (grams) | Protein Source | Other | Where to Purchase |
| Powder | ||||||
| Isopure Low Carb Zero Carb Whey Protein Isolate * (1 scoop) | 105 105 110 | 21 25 26 | 1 0 0 | Whey Isolate | GF/LF | GNC, Vitamin Shoppe, online |
| Jarrows Whey Protein (1 scoop) | 94-105 | 17-18 | 1-4 | Whey | GF | Vitamin Shoppe, Whole Foods, jarrow.com, online |
| Jay Robb Egg White Protein * Whey Protein (1 scoop) | 120 110 | 24 25 | 0 0 | Egg Whey Isolate | GF/LF | GNC, Vitamin Shoppe, Whole Foods,jayrobb.com, online |
| SEI Performance Series Max Protein (1 scoop) | 126 | 22 | 3 | Milk | GF | GNC, seinutrition.com |
| Nutiva Hemp Protein (3 tbsp) | 90 | 15 | 1 | Hemp | GF | Whole Foods, nutiva.com |
| Orgain Organic Protein (2 scoops) | 150 | 21 | 1 | Brown Rice, Hemp, Chia,Pea | GF/LF | Costco, Vitamin Shoppe, Whole Foods, online |
| Pure Protein Natural Whey Protein (1 scoop) | 130 | 23 | 3-5 | Whey | GF | BJ’s , Costco, Sam’s Club, CVS, Giant, Safeway, Target, Walgreen’s, Walmart, Vitamin Shoppe |
| Revival Soy Shakes (low sugar or sugar free) * (1 packet) | 120 | 20 | 1 | Soy | GF | revivalsoy.com |
| SunwarriorProtein * Vegan Plant Based (1 scoop) | 70 84 | 16 16 | 0 3 | Brown Rice Pea/Cran/Hemp | GF | purestcolloids.com/sun-warrior.php, online |
| Syntrax Nectar* Nectar Naturals (1 scoop) | 100 90 | 24 20 | 0 0 | Whey Isolate | GF/LF | Vitamin Shoppe, si03.com, online |
| Unjury * (1 scoop) | 100 | 21 | 2 | Whey Isolate | LF | unjury.com, online |
GF= Gluten Free LF=Lactose free * Unflavored available
Protein powder tips:
- Mix with skim or 1% milk, unsweetened soy milk, unsweetened almond milk, water or sugar free beverages with 10 calories or less per serving. If mixed with cow milk or soy milk this increases the total protein intake (1 oz = 1 gram protein).
- Add to foods. Small amounts mixed into foods throughout the day can increase overall protein intake another 20-30 grams by the days end, if a full serving is used.
Protein supplements may be available for purchase and sampleonline. Try the manufacturer’s website or some of the sites listed below:
www.mybariatricpantry.com www.bariatricchoice.com
www.nashuanutrition.com www.amazon.com
The information contained on this handout is presented for general information purposes only and is subject to change by third parties. The hospital does not recommend any particular vendor, product or service. Other vendors, products and services may be available from persons not on this list. Nothing contained on this handout should be construed nor is intended to be used for medical diagnosis or treatment. Always consult with your physician or other qualified health care provider before embarking on a new treatment, diet or fitness program.
